Patient-Reported Experience Measures in a Secondary Care Hospital in Sri Lanka: A Quality Improvement Evaluation Using the National Patient Satisfaction Questionnaire
Sukunan G, Thileeban A, Krishanth M.D.A
Abstract: Patient experience is a key indicator of healthcare quality and an essential component of patient-centred care. In Sri Lanka, public hospitals routinely conduct patient satisfaction surveys using a standardized questionnaire developed by the Directorate of Healthcare Quality and Safety, Ministry of Health. Despite widespread implementation, few published studies have analysed these routinely collected data to evaluate patient experience or examined the strengths and limitations of the national survey instrument.
Waste Literacy and Sustainable Development Introducing the Waste Literacy Framework (WLF) for Environmental and Economic Development in Sri Lanka
Yalindu K. Jayaweera
Abstract: This research provides rigorous explanation about waste knowledge. Waste is very critical problem among world as well as Sri Lanka. The escalating global waste crisis, with municipal solid waste generation reaching 2.01 billion tons annually, demands urgent attention, particularly in developing nations where inadequate infrastructure and limited public awareness exacerbate environmental degradation.
Cross-Border Trade Security in the Horn of Africa: Challenges, Trade Dynamics, and Mitigation Strategies along the Ethiopia–Somalia Border
Segni Aseffa Urgessa
Abstract: Cross-border trade constitutes a critical component of economic development, livelihood support, and regional integration in the Horn of Africa. The Ethiopia–Somalia border serves as one of the most active commercial corridors in the region, facilitating the movement of livestock, agricultural commodities, consumer goods, and services.
Assessing The Joint Effects of Financial Autonomy and Revenue Generation on Service Delivery in Selected Local Governments in Lagos and Oyo States, Nigeria
Michael Adekunle Taiwo; Prof. Ngozi Nwogwugwu; Dr. Chibuzor Nwadioke
Abstract: Service delivery in Nigeria is constrained by inadequate local government autonomy and insufficient revenue generation. The revenue generated by local governments, as well as its utilization for service provision, has been largely ineffective and has failed to make meaningful impacts on citizens within these local government areas.
Political and Institutional Factors Affecting the Effectiveness of Basic Education and Primary Health Service Delivery in South-West Nigeria: A Case Study of Selected Local Governments in Lagos and Oyo States, Nigeria
Dr. Michael Adekunle Taiwo; Prof. Ngozi Nwogwugwu; Dr. Chibuzor Nwadioke
Abstract: Local governments play a crucial role in ensuring effective service delivery, promoting community development, and safeguarding the interests of citizens. However, in Nigeria, persistent state interference in local government finances and revenue generation has undermined local government autonomy, resulting in inadequate funding, constitutional ambiguities, political instability, and corruption challenges that continue to weaken service delivery in key sectors such as education and health.
Kadamattom Mantra Water Therapy
Reghunath Ramakrishnan
Abstract: This paper presents an experience-based traditional perspective on the healing practices preserved within the Kadamattom spiritual tradition of India. Drawing upon decades of practical observation and inherited traditional knowledge, it explores the hypothesis that Kadamattom mantras may influence psychophysiological processes, particularly those involving the hypothalamus, a major regulatory center of the human body.
The Reimagined Nummulites Factory, Using Machine Learning and Artificial Intelligence to Model Reservoir Sweet Spots in the Kirthar Formation of Jacobabad-Khairpur High, Southern Indus Basin Pakistan: Beyond the Microscope to Unlock the Diagenetic Features and Sequence Stratigraphy
Muhammad Haris, Syed Kamran Ali, Humza Tariq, Muhammad Zaheer, Tariq Mehmood
Abstract: The Jacobabad-Khairpur High, a prominent structural feature within the Sukkur Rift Zone, delineates the boundary between the Central and Southern Indus Basins of Pakistan. This study presents an integrated analysis of the Middle to Late Eocene Kirthar Formation, based on a detailed 28.8 m measured section at Rohri, near Sukkur.
The Effect of Ethanol Leaf Extract of Ficus Deltoidea Addition on MCF-7 Treated with Tamoxifen and Fluoxetine
Keo Sopheak, Melva Louisa, Norma Nur Azizah, Rizky Clarinta Putri, and Rani Wardani Hakim
Abstract: Background: Breast cancer is the most common cancer in women and the second leading cause of mortality among women worldwide. Although there are plenty of treatment options, Tamoxifen remains a cornerstone for treating hormone receptor-positive breast cancer. However, Tamoxifen is still a prodrug that requires enzyme CYP2D6 to be converted to Endoxifen, the most active metabolite. In contrast, Fluoxetine is one of the CYP2D6 inhibitors used for treating anxiety or depression in breast cancer patients.
Service Availability, Affordability, and Responsiveness as Determinants of Customer Satisfaction in Rural Water Schemes under the Delegated Management Model: Evidence from Kisumu County, Kenya
Nelson Nyunja, Prof George Mark Onyango, Prof George G. Wagah
Abstract: Customer satisfaction is increasingly recognized as a critical indicator of the effectiveness and sustainability of rural water service delivery systems. This study assessed customer service performance of rural water schemes operating under the Delegated Management Model (DMM) in Kisumu County, Kenya, using the case of NYANAS Water Company. Specifically, the study examined service availability, affordability of water services, and responsiveness to customer concerns, and their influence on customer satisfaction.
Follow-up Evaluation of Postoperative Patients Undergoing Endoscopic Dacryocystorhinostomy: A Prospective Observational Study
Amit Thote , Ravi Ganeshkar, Priti Thakare
Abstract: Primary acquired nasolacrimal duct obstruction is a common cause of chronic epiphora in adults and significantly affects quality of life. Endoscopic dacryocystorhinostomy (Endoscopic DCR) has emerged as a preferred surgical procedure over dacryocystectomy because it avoids external scarring, preserves the lacrimal pump mechanism.
Institutionalizing Social Repair: a Meso-Level Conceptual Framework Linking Restorative Justice and Social Cohesion
Valentina Moncada
Abstract: The process of institutionalizing restorative justice within European criminal justice systems marks a fundamental shift in the sociology of punishment and social control, redefining the categories of offence, responsibility, and participation. However, academic literature remains fragmented between micro-sociological analyses of restorative interactions and macro-legal perspectives on procedural reforms, obscuring the institutional mechanisms that enable restorative principles to become established as instruments of social integration.
Psychological Safety at the Handover Interface: Why Paramedics Withhold Voice in the Emergency Department
Abdulaziz Ahmed Alharthi, Abdulmajeed Falah Alrashidi, Abdulaziz Hamed Alanazi
Abstract: Handover from an ambulance crew to emergency department (ED) staff is a short, crowded exchange on which much of a patient's early hospital care depends. Research on this interface has concentrated on what information moves across it and on the mnemonics used to structure the telling. A prior question has attracted much less attention: whether paramedics feel able to say what they know. This paper brings together evidence from organisational behaviour and from emergency care research to argue that prehospital-to-hospital handover is a psychological safety problem as much as an information-design problem.
Basketball Injury Prevention in Young Players: Evidence and a Mobile App Approach
Huy-Nguyen CAT, Gia-Minh H. NGUYEN, Hoang-Minh LE, Chi-Bach H. NGUYEN, Bach-Duong NGUYEN, Anh-Khoa DANG, Ha-Linh V. NGUYEN, Minh-Phuong NGUYEN
Abstract: Basketball involves frequent jumping, landing, stopping, turning, and contact. These actions place high loads on the ankle, knee, muscles, and tendons, especially in young players who are still growing and learning movement skills. This review examines the main causes of basketball injuries in young players and identifies practical ways to reduce them.
Real Time Predictive Maintenance of Tugboat Engine Using Fuzzy Logic Approach
Eng Gidion Gervas Ntunuligwa and Dr Werneld E. Ngongi
Abstract: Tugboat engines are subjected to demanding operational conditions that require high reliability and minimal downtime. Conventional maintenance strategies often result in either unnecessary maintenance or unexpected failures, leading to increased costs and safety risks.
Beyond the Tumor Signature: Investigating Global Mammographic Context in Machine-Learning–Assisted Breast Imaging
Tanish Jain
Abstract: Artificial intelligence (AI) is increasingly studied for mammographic image analysis, but model performance depends on preprocessing, dataset design, and evaluation choices. This study tested whether focusing a traditional machine-learning pipeline on an annotated lesion improves classification of benign versus malignant abnormalities.
Fund Disbursement Mechanisms and The Effectiveness of County Government Scholarship Programs: Evidence from Luanda Sub-County, Vihiga County, Kenya.
Tongoi A. Dennis, Dr. Helen Kamwele, Isabella Lutzili Asamba
Abstract: Timely and predictable disbursement of scholarship funds is critical to sustaining participation in secondary education, particularly among households with limited financial capacity. Delays in the release of scholarship funds may expose beneficiaries to fee arrears, temporary school exclusion and, ultimately, discontinuity of schooling, thereby undermining the effectiveness of publicly funded scholarship programmes.
The Political Economy of Governance and Corruption: Implications for Sustainable Economic Growth in Zambia
Kiru Sichoongwe, Mayoba Barbara Moono, Siegfrid Nanyambo Muyenga
Abstract: This study examines the relationship between governance, corruption, and economic growth in Zambia, providing evidence-based policy insights for sustainable economic resilience. Employing a quantitative approach, it analyzes secondary data from 1995 to 2023 using the Autoregressive Distributed Lag (ARDL) bounds testing model to capture short- and long-term interactions between governance, corruption, and growth.
Evaluation of Waste Water System in Kenana Ethanol Factory
Elham Hussain, Huda Mustafa, Ahmed. Sohily, Eglal A.Abo
Abstract: Liquid waste produced by industries is one of the most important sources of environment pollution, this study was conducted to evaluate the environment impact of the properties of waste water returning from the ethanol plant.
Determination of the Hip Center of Rotation in Filipinos Using Radiographic Landmarks
Mary Bernadette S. Intrepido, Cleff L. Flores
Abstract: The hip center of rotation is an important landmark in performing total hip replacement and its restoration is one of the goals of the reconstruction. Several studies have attempted to locate the hCOR using radiographic landmarks. However, most of these methods were done on the Western population and only a few on Asian populations. Racial variations may influence the hip and pelvis morphometry and the hCOR. This may also have implications in the outcome of total hip arthroplasty. Thus, standardized values for Filipinos must be determined.
Offline Assessment of Stem Detection Technique for Effective Plant Treatment Using Precision Vision Systems
Mahesh Y Pawar, Kunal Kulkarni, Kaushik Karandikar, Swarupanand Sewalkar
Abstract: This work presents a vision-based approach for detecting plant stems by separating them from surrounding elements such as leaves, soil, and background noise. An expanded dataset of early-stage corn plant images is utilized to train the model. The system detects the vertical plant structure and generates corresponding stem bounding boxes. It also evaluates the suitability of microprocessor-based platforms for efficient and portable execution of signal processing and machine learning techniques, using a Raspberry Pi 5 for deployment. The trained model achieved a mean Average Precision (mAP) of 0.777 at an IoU threshold of 0.50 and 0.346 over the IoU range of 0.50–0.95. To assess real-time applicability in agricultural settings, inference latency and CPU utilization were evaluated using field-recorded video sequences across multiple model formats. Quantized TensorFlow Lite (TFLite) implementations, including full integer and standard integer variants, achieved an average inference time of approximately 43 ms, corresponding to ~18 FPS including processing overhead. Other TFLite configurations (float16, float32, and int8) showed an average CPU usage of ~35%, representing a 42% reduction compared to the baseline PyTorch model. Additionally, inference performance and CPU utilization were analyzed for TorchScript, ONNX, OpenVINO, and NCNN frameworks.
Strategic Innovation and Performance of Distribution Systems Among Computer Hardware Distributors in Kenya: The Mediating Role of Operational Efficiency
Geoffrey Kimonge Mbogo
Abstract: This study examined the influence of strategic innovation on the performance of distribution systems among computer hardware distributors in Kenya, with operational efficiency assessed as a mediating variable. The study focused on four dimensions of strategic innovation: supply chain (technological), process, product, and business model innovation. Guided by the Resource-Based View, Diffusion of Innovations Theory, and Dynamic Capabilities Theory, the study adopted a descriptive survey design and a census approach targeting 25 managers and supervisors across 14 licensed and authorized computer hardware distributors.
